Individual provider Active NPI

Dominick C Mirando, D.C.

  • Chiropractor
  • Washington, DC
National Provider Identifier
1720119142
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH30020 Issued in DC
Practice address
4530 Connecticut Ave NW
101
Washington, DC 20008-4328
Phone
(202) 244-4444
Fax
(202) 244-4439
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH30020 DC Primary

Addresses

Primary practice location

4530 Connecticut Ave NW
101
Washington, DC 20008-4328

Mailing address

4530 Connecticut Ave NW
101
Washington, DC 20008-4328
Phone (202) 244-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120209000287 DC Practitioner - Chiropractic 1759478761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4530 Connecticut Ave NW
Suite 101
Washington, DC 20008-4309
Phone (202) 244-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH30020DCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mirando Associates PLLC Chiropractor CurrentSince Jul 8, 1992 Accepting new patients

Locations

4530 Connecticut Ave NW
Ste 101
Washington, DC 20008
Phone (202) 244-4444

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1720119142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 CONNECTICUT AVE NW",
            "address_2": "101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200084328",
            "telephone_number": "202-244-4444",
            "fax_number": "202-244-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 CONNECTICUT AVE NW",
            "address_2": "101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200084328",
            "telephone_number": "202-244-4444",
            "fax_number": "202-244-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDO",
        "first_name": "DOMINICK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DC",
            "license": "CH30020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.